CNA – Test

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Competency Test for CNAs

The following test for Certified Nurse Aides is used to assess your experience and skills and help your Nurse Adviser place you in the proper assignment. Please choose the best answer to each question.

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A. Universal Precautions

1 *

You are bathing a patient/resident with open wounds. Gloves do not need to be worn.

A. False

B. True

2 *

A patient/resident who has contracted the HIV virus and has developed AIDS and/or ARC will have increased difficulties fighting any contracted infection.

A. False

B. True

3 *

Disposable gloves can be sanitized after use by using alcohol-containing sanitizing foam or washing thoroughly with soap and hot water. This is an accepted procedure for re-using disposable gloves for more than one patient/resident contact.

A. False

B. True

4 *

The Centers for Disease Control has no recommendation for healthcare workers regarding Hepatitis B immunization who may potentially come into contact with blood, bodily waste, or other potentially infectious body fluids on the job.

A. False

B. True

5 *

Standard Precautions apply to all potential bodily fluids and excretions, even if they don't visibly contain blood, such as urine, feces, nasal fluids, sputum, sweat, emesis, and tears.

A. False

B. True

8 *

Despite a dramatic increase in its use, the vaccine against Hepatitis B has done little to suppress its rates of infection.

A. False

B. True

9 *

When possibly contacting bodily fluids or excretions of a patient/resident who is very healthy and has no known infections, it is acceptable to not use disposable gloves.

A. True

B. False

10 *

Hand-washing should be done:

A. After each patient/resident contact

B. Before feeding or assisting in feeding a patient/resident

C. After touching your face

D. After you eat lunch

E. All of the above

F. Only A and B are required

11 *

Infections can enter the human body through:

A. Nasal cavities

B. Hair

C. Eyes

D. Skin wounds

E. Mouth

F. Genitalia

F. All of the above

E. All but B

12

A. AIDS

B. Hepatitis C and B

C. Intestinal parasites such as tapeworms

D. Psoriasis

E. Diarrhea

F. Influenza

G. All of the above

H. All but D

I. All but F

Healthcare workers are at risk of exposure to:

13 *

The best way to remove an isolation gown is to:

A. Pull it off by the sleeve and shake it out

B. Let it drop to the floor and step out of it

C. Roll it dirty side in and away from the body

D. Pull it over the head

E. It doesn't matter, as the gown provides no post-exposure hazard

F. Either C or A is acceptable

B. CNA Regulations, Ethics and Similar

14 *

The Omnibus Budget Reconciliation Act is a:

A. Federal law passed in 1986 establishing standards for healthcare workers including CNAs

B. Federal law passed in 1989 establishing standards for healthcare workers including CNAs

C. Federal law passed in 1987 establishing the hospital training act

D. Federal law passed in 1987 establishing standards for healthcare workers including CNAs

E. Federal law passed in 1986 establishing bookkeeping standards

F. None of the above

G. C and E

15 *

The nurse aide is offered a $ 20 bill by a patient's or resident's family member in appreciation for a job well done. The CNA should:

A. Politely refuse the money

B. Ask the duty nurse what to do

C. Take the offer, but be sure to buy something for the whole staff

D. Accept the offer so as not to offend

16 *

A nurse aide who is an active member of their church is staffed to care for a client who is not a member of any religious group. It is acceptable for the nurse aide to:

A. Tell the client of the importance of joining a church, even if not the CNAs church

B. Respect the client and not begin religious discussions

C. Continually inform the client of the CNAs church and its beliefs

D. Arrange to have a clergyman visit the client

E. C and D are both acceptable

17 *

How can a nurse aide best assist a family member who is having difficulty accepting a loss?

A. Encourage the family member to talk

B. Discourage crying

C. Leave the grieving alone

D. Tell the grieving their loved one is in a better place

18 *

The single most important aspect of being a contractor through Applegate Medical Staffing is to provide at every possible opportunity, for the safety and privacy of the client/resident/patient.

A. False

B. True

C. Both A and B

19 *

The process of restoring a disabled or injured patient/resident to their highest level of functionality is called:

A. Reincarnation

B. Rehabilitation

C. Responsibility

D. Retention

C. Vitals

20 *

A patient/resident has just consumed an icy-cold beverage when the duty nurse asks for an oral temperature. You should:

A. Inform the nurse of the drink and offer to wait 10 - 20 minutes

B. Take the oral temperature and increase the reading 4 degrees

C. Wait 1 hour

D. Wait 25-30 minutes

E. Same as A, but wait 1 hour

21 *

The best and most common place to use a typical blood pressure cuff is:

A. Around the neck

B. Lower arm

C. Upper arm

D. Wherever the client likes

22 *

When taking a patient/resident's weight, the best procedure is to:

A. Use a pre-weighed wheelchair and subtract the wheelchair\'s weight

B. Measure at the same time of day

C. Measure after urination

D. Measure when the patient/resident feels good

E. Use a metric tape measure and convert the reading

23 *

When helping a client who has had a stroke to walk, the CNA should most often:

A. Assist from the client's strong side

B. Use a wheelchair

C. Assist from behind, using a gait belt

D. Assist from the client's weak side

24 *

While caring for a client with an HIV related illness, the nurse should use what type of precautions?

A. Standard precautions

B. Gloves and gowns

C. Gloves, gowns, and mask

D. No precaution is necessary

25 *

This temperature measurement site is considered the most reliable:

A. Oral

B. Groin

C. Axillary

D. Rectal

D. CNA Math and Measurements

26

a. 67 drops

b. 120 drops

c. 85 drops

d. 95 drops

e. there is no equivalency

f. 1/2 way between c and d

1.5 teaspoons is roughly equivalent to:

27

a. Greek for \"leave with water\"

b. Latin for \"nothing by mouth\"

c. not used in healthcare, but is a religious statement

d. Latin for \"no water after midnight\"

Nil Per Os is:

28

a. 1x daily

b. every shift

c. every 12 hours

d. 3x daily

A resident/patient\'s intake & output numbers should be totaled:

29

a. 1.25 quarts

b. 350 cc

c. 11.5 oz

d. .09 cups

An example of the proper measurement for a CNA to use when measuring urinary output is:

30

a. scold the client if this is against the CNAs beliefs

b. leave the client and provide for privacy

c. laugh, but tell the client to use the restroom instead

d. admonish the client to stop

e. a or d are acceptable

A CNA enters a patient/resident\'s room and discovers the client is sitting in their chair masturbating. The CNA can/should:

31

a. true

b. false

c. depends on which country you are in

d. these measurements are not used in healthcare

6 oz is equivalent to 190 milliliters:

32

a. 8 x 30 ml

b. 8 x 20 ml

c. 8 x 15 ml

d. 8 x 10 ml

To convert 8 oz of juice to milliliters (ml) the CNA should calculate this way:

E. Basic Care & Comfort

33

a. swelling

b. discoloration

c. it is difficult to tell, and not the CNAs concern

d. coolness to the touch

The first sign of a pressure sore is:

34

a. leaving a client alone in a bathtub

b. leaving a client in a wet and soiled bed

c. restraining a resident when it provides convenience for the CNA

d. restraining a resident when ordered by a client\'s physician

e. threatening to withhold a client\'s meal

All of the following are signs of abuse and/or neglect except:

35

a. raise the rails on both sides of the bed

b. tell the patient/resident to get up

c. put the dirty sheets in the chair

d. raise the rail on the unattended side

When changing the linens on an occupied bed, the CNA should:

36

a. dispense 2 aspirins with 8 ounces of water

b. inform the attending nurse

c. ask the client to go to sleep

d. ignore the client\'s complaint, the nurse knows what s/he is doing

A CNA enters a patient/resident room. The client complains of being in great pain. The CNA should:

37

a. when patients are left in one position in bed for extended periods of time

b. when the patient is \"thin\" (weight)

c. when the patient is \"heavy\" (weight)

d. always in both \"thin\" and \"heavy\" patients

Pressure ulcers usually occur:

38

a. dress the client in clothes the CNA prefers

b. use the clothes easiest to dress the client in

c. give the patient/resident choices

d. use clothes from the closet that are wrinkled and stinky

When dressing a client, a CNA should:

39

a. check the client\'s diet before offering nourishment

b. explain that breakfast is only 3 hours away

c. explain that eating is not allowed outside of scheduled dining times

d. tell the nurse the client is being a total pain in the buttocks

A client wakes up during the night and asks for something to eat. The CNA should:

40

a. assist with right sleeve on and right sleeve off

b. assist with left sleeve on and right sleeve off

c. assist with right sleeve on and left sleeve off

d. either way is a acceptable as long as the job is done

A client has weakness on the right side of their body, affecting the right arm somewhat. The correct procedure for assisting with the dressing and undressing of a client with their wool sweater is to first:

41

a. high-pitched sounds

b. low-pitched sounds

c. heavy metal music

d. faint sounds

Changes in hearing that occur with age progression are most likely to initially affect the hearing of:

42

a. adduction, and it is not important for a well-rounded CNA to know

b. range of motion, and it is not important for a well-rounded CNA to know

c. adduction, and it is important for a well-rounded CNA to know

d. muscular rotation, and it is important for a well-rounded CNA to know

e. none of the above

Exercises that assist with the rehabilitation of an injured leg are called:

43

a. increase fluid intake

b. schedule regular mealtimes

c. increase dietary protein

d. switch client to a low fiber diet

A resident who is inactive is at risk of constipation. In addition to increasing activity and exercise, a good CNA, to help avoid constipation in their client, will:

44

a. raise the patient/resident\'s head

b. sit the patient/resident up

c. take the patient/resident\'s vital signs

d. elevate the patient/resident\'s feet

e. ask the patient/resident to take deep breaths

f. a, then, if possible, c

The CNA discovers a client suddenly becomes short of breath. CNA should call the nurse, then:

45 *

A sudden change to the brain due to either hemorrhage or blockage of an artery is called:

a. agnosia

b. a cerebrovascular accident

c. aphasia

d. multiple sclerosis

e. either a or d

Notes or explanations (optional):

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